NPI | 1821870403 |
---|---|
Entity Type | Organization |
Authorized Contact | BRANDON COLE HEDGECOCK Owner 512-215-4350 |
Organization Subpart ? | No |
Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Enumeration Date | 2023-10-18 |
Last Update Date | 2023-10-18 |